DR. CHARLES W. CUBBERLEY MD
NPI 1023646635
Internal Medicine in Salt Lake City, UT

Q: What is Charles Cubberley's NPI number?

The NPI number for Charles Cubberley is 1023646635. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Q: What is Charles Cubberley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Cubberley was last updated on September 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment

30 N 1900 E RM 4C116, SALT LAKE CITY, UT 84132(801) 585-3580 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2021, Mar 30, 2020 (2 updates tracked since 2020).

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About Dr. Charles W. Cubberley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES W. CUBBERLEY MD (NPI 1023646635) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (12451675-1205) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023646635

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. CHARLES W. CUBBERLEYCredential: MD

Location Address30 N 1900 E RM 4C116Salt Lake City, UT 84132-0002

Mailing Address30 N 1900 E Rm 4c116Salt Lake City, UT 84132-0002 · (801) 585-3580

Phone(801) 585-3580

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 30, 2020

Last NPPES UpdateSeptember 16, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2021

✔ NPI 1023646635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in UT · 12451675-1205

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

30 N 1900 E RM 4C116, Salt Lake City, UT 84132

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles W. Cubberley Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577969823

PECOS Enrollment IDI20251009001630

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIDDHARTH K. IYENGAR MD

Internal Medicine

30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7606

DAVID C. HAAK MD

Hospitalist

30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132

Salt Lake County (801) 585-3580

KELLEN A. SULLIVAN MD

Internal Medicine

30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7606

ALICIA HSU BOWLES MD

Internal Medicine

30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7606

ANEES DAUD

Internal Medicine (Cardiovascular Disease)

30 N 1900 E RM 4C116, UNIVERSITY OF UTAH DEPARTMENT OF MEDICINE OFFICE OF EDU
SALT LAKE CITY, UT 84132

Salt Lake County (801) 585-0418

JAWAD S A ALMAJED MBBS

Internal Medicine

30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132

Salt Lake County (801) 585-3580

ELENA G. GIBSON MD

Internal Medicine

30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7606

GUINN ELLEN DUNN MD

Hospitalist

30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Cubberley's NPI number?

The NPI number for Charles Cubberley is 1023646635. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Charles Cubberley located?

Charles Cubberley practices at 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132. The listed phone number is (801) 585-3580.

What is Charles Cubberley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Cubberley enrolled in Medicare?

Yes. Charles Cubberley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Cubberley accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Charles Cubberley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Cubberley was last updated on September 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.